114,924 results match your criteria Obstetric Anesthesia Digest [Journal]


Maternal and Neonatal Complications of Pregnant Women with Mitral Stenosis.

Isr Med Assoc J 2019 Feb;21(2):88-93

Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel.

Background: Rheumatic mitral stenosis (MS) is a relatively rare diagnosis in the developed countries and its treatment during pregnancy is challenging due to hemodynamic changes. With the demographic changes due to recent waves of immigration an increase in the prevalence of rheumatic heart disease is expected.

Objectives: To evaluate maternal and neonatal complications in patients with mitral stenosis. Read More

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February 2019

Postpartum post-traumatic stress disorder: Associated perinatal factors and quality of life.

J Affect Disord 2019 Feb 10;249:143-150. Epub 2019 Feb 10.

Department of Health Sciencies, University of Jaen, Jaen, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Madrid, Spain.

Background: The relationship between obstetric variables and postpartum post-traumatic stress disorder (PTSD), and its influence on quality of life (QoL), have scarcely been studied.

Objective: Determine the prevalence of PTSD at postpartum weeks 4 and 6, and its relation with perinatal variables and quality of life METHOD: A cross-sectional study with 2990 Spanish puerperal women in Spain. Data were collected on socio-demographic and obstetric variables, and on newborns. Read More

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http://dx.doi.org/10.1016/j.jad.2019.01.042DOI Listing
February 2019

The European registry on obstetric Antiphospholipid syndrome (EUROAPS): A survey of 1000 consecutive cases.

Autoimmun Rev 2019 Feb 14. Epub 2019 Feb 14.

Obstetrics and Gynaecology Department, High Risk Unit, Vall d'Hebron University Hospital, Universitat Autonoma, Barcelona, Spain.

Aim To analyse the clinical features, laboratory data and foetal-maternal outcomes, and follow them up on a cohort of 1000 women with obstetric antiphospholipid syndrome (OAPS).

Methods: The European Registry of OAPS became a registry within the framework of the European Forum on Antiphospholipid Antibody projects and was placed on a website in June 2010. Thirty hospitals throughout Europe have collaborated to carry out this registry. Read More

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http://dx.doi.org/10.1016/j.autrev.2018.12.006DOI Listing
February 2019

Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom.

Int J Obstet Anesth 2019 Jan 8. Epub 2019 Jan 8.

Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University, Bournemouth, UK.

Background: Paper-based charts remain the principal means of documenting the vital signs of hospitalised pregnant and postnatal women. However, poor chart design may contribute to both incorrect charting of data and clinical responses. We decided to identify design faults that might have an adverse clinical impact. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.001DOI Listing
January 2019

Anesthesia for non-obstetric surgery during pregnancy in a tertiary referral center: a 16-year retrospective, matched case-control, cohort study.

Int J Obstet Anesth 2019 Jan 12. Epub 2019 Jan 12.

Department of Anesthesiology, University Hospitals of the KU Leuven, Herestraat 49, 3000 Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.

Introduction: This retrospective, matched case-control cohort study describes the incidence, indications, anesthesia techniques and outcomes of pregnancies complicated by surgery in a single tertiary-referral hospital.

Methods: Retrospective review of the hospital records of 171 patients who had non-obstetric surgery in the current pregnancy, between 2001 and 2016. Pregnancy outcomes of these women were firstly compared with all contemporary non-exposed patients (n=35 411), and secondly with 684 non-exposed control patients, matched for age, time of delivery and parity. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.006DOI Listing
January 2019

Mobile obstetric and neonatal simulation based skills training in India.

Midwifery 2019 Feb 7;72:14-22. Epub 2019 Feb 7.

Department of Paediatrics, Monash University, Melbourne, Australia.

Background: The developing world has a significantly high risk of women and babies dying during childbirth. Interprofessional simulation training has improved birth practices and outcomes by impacting clinical and non-technical skills like communication, teamwork, leadership and effective use of resources. While these programs have become a training requirement in many high-income countries, they have not been widely introduced in the low-income, low-resource settings. Read More

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http://dx.doi.org/10.1016/j.midw.2019.02.006DOI Listing
February 2019

Impact of intertwin interval on short-term neonatal outcomes of the second twin in dichorionic pregnancies with vaginal delivery.

Int J Gynaecol Obstet 2019 Feb 16. Epub 2019 Feb 16.

Department of Obstetrics, Hospital Universitario Materno-Infantil Miguel Servet, Zaragoza, Spain.

Objective: To examine the effect of intertwin interval on umbilical cord pH and Apgar scores of the second twin after vaginal delivery.

Methods: A retrospective study of twin deliveries at a university hospital in Spain between August 2012 and September 2017. Inclusion criteria were vaginal delivery of both twins at 32 gestational weeks or more. Read More

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http://dx.doi.org/10.1002/ijgo.12790DOI Listing
February 2019

The importance of non-technical performance for teams managing postpartum haemorrhage: video review of 99 obstetric teams.

BJOG 2019 Feb 16. Epub 2019 Feb 16.

School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Switzerland.

Objective: Little is known about how teams' non-technical performance influences clinical performance in obstetric emergencies like postpartum haemorrhage.

Design: Video review - observational study.

Setting: A university hospital (5,000 deliveries) and a regional hospital (2,000 deliveries) in Denmark. Read More

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http://dx.doi.org/10.1111/1471-0528.15655DOI Listing
February 2019

Risk of adverse pregnancy outcomes by pre-pregnancy Body Mass Index among Italian population: a retrospective population-based cohort study on 27,807 deliveries.

Arch Gynecol Obstet 2019 Feb 15. Epub 2019 Feb 15.

Division of Obstetrics and Prenatal Medicine, Department of Medicine and Surgery (DIMEC) Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Purpose: To estimate the impact of increasing pre-pregnancy Body Mass Index (BMI) on the risk of adverse maternal and perinatal outcomes, in patients who delivered in an Italian tertiary care Obstetric department.

Methods: Data, related to women who delivered at Sant'Anna Hospital, Turin, between 2011 and 2015, were collected retrospectively from the hospital database. According to BMI, women were considered as normal weight, overweight, and class 1, 2 and 3 obese (WHO criteria). Read More

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http://dx.doi.org/10.1007/s00404-019-05093-0DOI Listing
February 2019

Propofol, Zola, and the modern obstetric rapid sequence induction.

Authors:
E-J Smith P Groves

Int J Obstet Anesth 2019 Jan 11. Epub 2019 Jan 11.

Hospital NHS Foundation Trust, London, United Kingdom.

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http://dx.doi.org/10.1016/j.ijoa.2019.01.005DOI Listing
January 2019

Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis.

Int J Obstet Anesth 2019 Jan 8. Epub 2019 Jan 8.

Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, Nova Scotia, Canada.

A 70 kg, 34-year-old woman at 29 weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19 mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, leading to respiratory distress. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.002DOI Listing
January 2019

Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy women undergoing elective caesarean delivery: a prospective observational study in Australia.

Int J Obstet Anesth 2019 Jan 16. Epub 2019 Jan 16.

Department of Anaesthesia and Perioperative Services, The Royal Brisbane and Women's Hospital, QLD, Australia; The University of Queensland, Brisbane, QLD, Australia.

Background: Formal reference ranges for rotational thromboelastometry (ROTEM®) in pregnancy have not been obtained in the recommended minimum sample size of 120. This prospective observational study aimed to establish baseline parameters in an Australian population of women undergoing elective caesarean delivery. The secondary aim was to compare these reference ranges with those from prior studies and the manufacturer. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.008DOI Listing
January 2019

The comparative accuracy of a handheld and console ultrasound device for neuraxial depth and landmark assessment.

Int J Obstet Anesth 2019 Jan 11. Epub 2019 Jan 11.

Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Background: The study aimed to compare the accuracy of epidural depth estimation of a handheld ultrasound device, with an integrated algorithm that estimates epidural depth (AU; Accuro, Rivanna Medical), to that of a console ultrasound machine (GU; GE LOGIC S8).

Methods: Women requesting labor epidural analgesia consented to this prospective cohort study. The L2/3, L3/4, and L4/5 interspaces and the respective depths to the epidural space were identified, marked and measured using an AU and GU. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.004DOI Listing
January 2019

Clear Cell Carcinoma of the Abdominal Wall as a Rare Complication of General Obstetric and Gynecologic Surgeries: 15 Years of Experience at a Large Academic Institution.

Int J Environ Res Public Health 2019 Feb 14;16(4). Epub 2019 Feb 14.

Department of Obstetrics and Gynecology; National Taiwan University Hospital, Taipei 100, Taiwan.

The objective of this article was to report the clinicopathological characteristics, treatment modalities, and outcomes of patients with clear cell carcinoma (CCC) of the abdominal wall. Medical records of six patients diagnosed with CCC of the abdominal wall between May 2003 and May 2018 at the National Taiwan University Hospital were reviewed. All patients had prior obstetric or gynecologic surgeries. Read More

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http://dx.doi.org/10.3390/ijerph16040552DOI Listing
February 2019

Induction of Labor at 39 Weeks of Gestation vs. Expectant Management for Low-Risk Nulliparous Women: A Cost-Effectiveness Analysis.

Am J Obstet Gynecol 2019 Feb 12. Epub 2019 Feb 12.

Oregon Health & Science University, Department of Obstetrics and Gynecology. Portland, OR.

Background: A large, recent multicenter trial found that induction of labor at 39 weeks for low-risk nulliparous women was not associated with an increased risk of cesarean delivery or adverse neonatal outcomes.

Objective: We sought to examine the cost-effectiveness and outcomes associated with induction of labor at 39 weeks versus expectant management for low-risk nulliparous women in the United States.

Study Design: A cost-effectiveness model using TreeAge software was designed to compare outcomes in women who were induced at 39 weeks versus expectantly managed. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.017DOI Listing
February 2019

[Midwives’ intention to leave primary level care services in Mali].

Sante Publique 2018 September October;30(5):725-735

Background: Mali is a country with a high rate of maternal and neonatal deaths and a low density of human resources for health. The health system faces understaffing and inequitable distribution of available resources. Health staff are reluctant to take positions and stay in first level care services. Read More

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http://dx.doi.org/10.3917/spub.186.0725DOI Listing
February 2019

[Establishment and one-year evaluation of an internal medicine consultation in a maternity].

Sante Publique 2018 September October;30(5):671-677

Objective: In the obstetric medicine movement and in response to requests for appointments in internal medicine by obstetricians and midwives, we created an internal medicine consultation within the maternity ward of our General Hospital, and provide feedback after 1 year.

Methods: This retrospective descriptive study took place at the Robert Ballanger Intercommunal Hospital Center in Aulnay-sous-Bois in Seine-Saint-Denis (France) between 3rd March 2016 and 9th March 2017, the first year of the internal medicine consultation, one afternoon every 15 days, in the maternity level 2b.

Results: Out of 121 appointments, 93 consultations were conducted for 63 patients. Read More

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http://dx.doi.org/10.3917/spub.186.0671DOI Listing
February 2019

Placental location and pregnancy outcomes in nulliparous women: A population-based cohort study.

Acta Obstet Gynecol Scand 2019 Feb 15. Epub 2019 Feb 15.

Department of Medicine, Solna, Clinical Epidemiology Division, Karolinska Institutet, Stockholm, Sweden.

Introduction: The impact of placenta previa on pregnancy, delivery and infant outcomes has been extensively studied. Less is however known about the possible association of placental location other than previa with pregnancy outcomes. The aim of this study was to investigate if placental location other than previa is associated with adverse pregnancy, delivery and infant outcomes. Read More

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http://dx.doi.org/10.1111/aogs.13578DOI Listing
February 2019

Drug-related teratogenic and pathologic causes of birth defects in a tertiary hospital in Southwestern Nigeria.

Pharmacol Res Perspect 2019 Feb 6;7(1):e00452. Epub 2019 Feb 6.

Department of Pharmacology College of Medicine Lagos State University Lagos Nigeria.

Birth defects are important causes of neonatal morbidity and mortality. A good understanding of the etiology is a vital step toward developing improved treatment and preventive strategies. We conducted an audit of medical records of newborns with birth abnormalities in a tertiary hospital over a 10-year period, using a Pro forma designed to collect information on obstetric history, antenatal history, sociodemographics of parents, and the type of birth abnormality. Read More

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http://dx.doi.org/10.1002/prp2.452DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364330PMC
February 2019

Ergometrine-induced atrial fibrillation at caesarean section.

BMJ Case Rep 2019 Feb 13;12(2). Epub 2019 Feb 13.

Department of Obstetrics and Gynaecology, Centenary Hospital for Women and Children, Canberra Hospital, Garran, Australian Capital Territory, Australia.

A 36-year-old woman with a history of one previous caesarean section presented to the birthing suite of a regional hospital with spontaneous rupture of membranes at 39+2/40 weeks. Syntocinon was administered to initiate uterine contractions in the absence of labour, as the patient desired vaginal birth. A caesarean section was subsequently indicated and ergometrine was administered for uterine atony. Read More

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http://dx.doi.org/10.1136/bcr-2018-226747DOI Listing
February 2019

Syncope after administration of epidural analgesia in an obstetric patient with a vagus nerve stimulator.

Authors:
J E Tang J B Hyman

Int J Obstet Anesth 2019 Jan 6. Epub 2019 Jan 6.

Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place Box 1010, New York, NY 10029, United States. Electronic address:

Vagus nerve stimulation (VNS) is an adjunctive therapy for medically refractory epilepsy and depression. Vagus nerve stimulation is generally well-tolerated, but cardiac arrhythmias or asystole are rare complications that have been reported. This case report describes an obstetric patient who received epidural analgesia and subsequently experienced two episodes of syncope synchronous with stimulation from her VNS device. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.011DOI Listing
January 2019

'Birds of the same feathers fly together': midwives' experiences with pregnant women and FGM/C complications - a grounded theory study in Liberia.

Reprod Health 2019 Feb 14;16(1):18. Epub 2019 Feb 14.

African Women's Research Observatory (AfWORO), Barcelona, Spain.

Background: In Liberia, approximately 70% of the women of the North-Central and North-Western regions could have undergone female genital mutilation/cutting (FGM/C) in their childhood during a traditional ceremony marking their entrance into Sande, a secret female society. Little is known about FGM/C from Liberian women's perspective. This study aimed to understand the health implications of FGM/C as perceived by qualified female midwives. Read More

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http://dx.doi.org/10.1186/s12978-019-0681-1DOI Listing
February 2019

Comparison of incisional and epidural analgesia in the treatment of postoperative pain after cesarean section.

Ceska Gynekol 2018 ;83(3):182-187

Objective: Comparison of incisional and epidural analgesia in the treatment of postoperative pain after cesarean sectio.

Design: Prospective cohort study in the period from 2015 to 2016.

Setting: Department of Obstetric and Gynecology, Masaryk University, University Hospital Brno. Read More

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January 2018

How durable is the effect of mirabegron in successfully-treated overactive bladder patients? Analysis of a multicentre study.

Ceska Gynekol 2018 ;83(3):164-168

Objective: Many clinical studies indicate that pharmacologic treatment of overactive bladder (OAB) is considered effective and safe, but in real clinical practice a substantial proportion of patients discontinues the treatment. The reason for discontinuing the treatment most frequently reported is lack of efficacy and/or side effects. A further significant proportion of patients reports that they stopped the treatment because the symptoms disappeared or were resolved. Read More

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January 2018

The Significance of Yolk Sac Number in Monoamniotic Twins.

Fetal Diagn Ther 2019 Feb 14:1-7. Epub 2019 Feb 14.

The University of Melbourne, Department of Obstetrics and Gynaecology, The Royal Women's Hospital, Parkville, Victoria, Australia.

Background: Detection of a single yolk sac on early first trimester ultrasound was previously thought to be a reliable diagnostic feature of monochorionic monoamniotic (MCMA) twin pregnancies.

Objectives: To determine the frequency of two yolk sacs in MCMA twin pregnancies and the association of yolk sac number with pregnancy outcomes.

Methods: A retrospective cohort analysis of MCMA twins managed at a tertiary obstetric centre from January 2003 until February 2017. Read More

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http://dx.doi.org/10.1159/000496204DOI Listing
February 2019

Fetal abdominal cysts: antenatal course and postnatal outcomes.

J Perinat Med 2019 Feb 14. Epub 2019 Feb 14.

Centre for Fetal Care, Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.

Background There is little information on which to base the prognostic counselling as to whether an antenatally diagnosed fetal abdominal cyst will grow or shrink, or need surgery. This study aims to provide contemporary data on prenatally diagnosed fetal abdominal cysts in relation to their course and postnatal outcomes. Methods Fetal abdominal cysts diagnosed over 11 years in a single centre were identified. Read More

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http://dx.doi.org/10.1515/jpm-2018-0311DOI Listing
February 2019

Does comparing cesarean delivery rates influence women's choice of obstetric hospital?

Am J Manag Care 2019 02 1;25(2):e33-e38. Epub 2019 Feb 1.

Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115. Email:

Objectives: Despite public reporting of wide variation in hospital cesarean delivery rates, few women access this information when deciding where to deliver. We hypothesized that making cesarean delivery rate data more easily accessible and understandable would increase the likelihood of women selecting a hospital with a low cesarean delivery rate.

Study Design: We conducted a randomized controlled trial of 18,293 users of the Ovia Health mobile apps in 2016-2017. Read More

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February 2019

Assessment of the diagnostic value of using serum CA125 and GI-RADS system in the evaluation of adnexal masses.

Medicine (Baltimore) 2019 Feb;98(7):e14577

Department of Gynecology and Obstetrics, Key Laboratory of Obstetric and Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu.

Cancer antigen 125 (CA125) is a valuable tumor marker for ovarian cancer. Gynecology Imaging Reporting and Data System (GI-RADS) is proved to be effective at identifying the adnexal masses. We investigated whether the combination of these two methods can improve the diagnostic accuracy of ovarian cancer. Read More

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http://dx.doi.org/10.1097/MD.0000000000014577DOI Listing
February 2019
5.723 Impact Factor

Gender and obstetric factors in the determination of the age of onset of schizophrenia in a Nigerian cohort.

J Abnorm Psychol 2019 Feb 14. Epub 2019 Feb 14.

Department of Clinical Services, Federal Neuro-Psychiatric Hospital.

The importance of gender and obstetric factors as predictors of the age of onset of schizophrenia is debatable. Unfortunately, there is a significant dearth of studies in developing countries such as Nigeria. This study involved a survey of patients with schizophrenia (n = 1,445; N = 2,393), from March 2014 to March 2016, from a psychiatric hospital in southwest Nigeria. Read More

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http://dx.doi.org/10.1037/abn0000386DOI Listing
February 2019

Individual and community level factors associated with health facility delivery: A cross sectional multilevel analysis in Bangladesh.

PLoS One 2019 13;14(2):e0211113. Epub 2019 Feb 13.

International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.

Introduction: Improving maternal health remains one of the targets of sustainable development goals. A maternal death can occur at any time during pregnancy, but delivery is by far the most dangerous time for both the woman and her baby. Delivery at a health facility can avoid most maternal deaths occurring from preventable obstetric complications. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211113PLOS
February 2019

Desmopressin acetate (DDAVP) for preventing and treating acute bleeds during pregnancy in women with congenital bleeding disorders.

Cochrane Database Syst Rev 2019 Feb 13;2:CD009824. Epub 2019 Feb 13.

Department of Obstetrics and Gynecology, Melaka Manipal Medical College, Bukit Baru, Jalan Batu, Hampar, Melaka, Malaysia, 75150.

Background: Congenital bleeding disorders can cause obstetric haemorrhage during pregnancy, labour and following delivery. Desmopressin acetate (DDAVP) is found to be an effective drug which can reduce the risk of haemorrhage and can also stop bleeding in certain congenital bleeding disorders. Its use in pregnancy has been controversial. Read More

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http://dx.doi.org/10.1002/14651858.CD009824.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373982PMC
February 2019

Predictive value of soluble fms-like tyrosine kinase-1 against placental growth factor for preeclampsia in a Chinese pregnant women population.

J Clin Lab Anal 2019 Feb 13:e22861. Epub 2019 Feb 13.

Department of Laboratory Medicine, West China Second University Hospital, Sichuan University, Chengdu, China.

Objective: The purpose of the present study was to explore the predictive effects of soluble fms-like tyrosine kinase-1 (sFlt-1) and placental growth factor (PlGF) for preeclampsia.

Methods: A total of 1580 singleton pregnant women aged 18-45 years were included in this study. Serum samples were collected and stored frozen during their regular obstetric examinations. Read More

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http://doi.wiley.com/10.1002/jcla.22861
Publisher Site
http://dx.doi.org/10.1002/jcla.22861DOI Listing
February 2019
4 Reads

Safety of laparoscopic appendicectomy during pregnancy: a systematic review and meta-analysis.

ANZ J Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Colorectal Surgery, Division of Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Background: Acute appendicitis is the most common non-obstetric surgical presentation during pregnancy. There were concerns that laparoscopic appendicectomy increases the risk of foetal loss compared to an open approach. Therefore, with recent advances in perioperative care, it is likely the risk has changed. Read More

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http://dx.doi.org/10.1111/ans.14963DOI Listing
February 2019

Performance of Haematological Parameters in Early Diagnosis of Clinically Suspected Neonatal Sepsis.

Mymensingh Med J 2019 Jan;28(1):193-199

Dr SM Nurun Nabi, Junior Consultant (Paediatrics), Department of Paediatrics, Rangpur Medical College Hospital (RMCH), Rangpur, Bangladesh; E-mail:

Neonatal sepsis is one of the major health problems throughout the world and major cause of morbidity and mortality in developing countries. Positive blood culture considers the gold standard for confirmation of neonatal sepsis, but it does not provide rapid diagnosis. So this study was designed to find out the performance of haematological parameters in early diagnosis of neonatal sepsis. Read More

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January 2019

Maternal Death: Audit in a Tertiary Hospital.

Authors:
K Guha F Ashraf

Mymensingh Med J 2019 Jan;28(1):85-90

Dr Kaberi Guha, Junior Consultant, Obstetrics & Gynaecology, Shaheed Suhrawardy Medical College Hospital, Sher-E-Bangla Nagar, Dhaka, Bangladesh; E- mail:

Maternal death audit in a tertiary hospital was conducted to improve the quality of maternal health care. In this descriptive type cross sectional study, maternal deaths were reviewed and factors responsible for maternal death were identified and noted in Rajshahi Medical College Hospital from July 2008 to June 2009. During the study period total 63 maternal deaths recorded among 7560 deliveries. Read More

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January 2019

Obstetric anaesthesia: what a neurologist needs to know.

Pract Neurol 2019 Feb 12. Epub 2019 Feb 12.

Department of Neurology, Brigham and Women's Hospital, Roslindale, MA 02115, USA

Neurologists are often consulted to see women postpartum who are having difficulties involving the lower extremities; weakness, numbness and pain. Many of these women have received labour analgesia. Often, there is limited understanding by the neurologist of how these procedures are performed, why a neuraxial technique is chosen and their potential complications. Read More

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http://dx.doi.org/10.1136/practneurol-2018-002081DOI Listing
February 2019

Do social factors and country of origin contribute towards explaining a "Latina paradox" among immigrant women giving birth in Germany?

BMC Public Health 2019 Feb 12;19(1):181. Epub 2019 Feb 12.

Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Bielefeld, Germany.

Background: The "Latina paradox" describes the unexpected association between immigrant status, which is often correlated to low socioeconomic status, and low prevalence of unfavourable birth outcomes. Social (e.g. Read More

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http://dx.doi.org/10.1186/s12889-019-6523-9DOI Listing
February 2019

Monitoring quality of obstetric care from hospital discharge databases: A Delphi survey to propose a new set of indicators based on maternal health outcomes.

PLoS One 2019 12;14(2):e0211955. Epub 2019 Feb 12.

Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé) Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes University, Paris, France.

Objectives: Most indicators proposed for assessing quality of care in obstetrics are process indicators and do not directly measure health effects, and cannot always be identified from routinely available databases. Our objective was to propose a set of indicators to assess the quality of hospital obstetric care from maternal morbidity outcomes identifiable in permanent hospital discharge databases.

Methods: Various maternal morbidity outcomes potentially reflecting quality of obstetric care were first selected from a systematic literature review. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211955PLOS
February 2019
2 Reads

Contributory factors and potentially avoidable neonatal encephalopathy associated with acute peripartum events: An observational study.

Aust N Z J Obstet Gynaecol 2019 Feb 12. Epub 2019 Feb 12.

Neonatal Paediatrics, Auckland District Health Board, Auckland, New Zealand.

Background: In 25% of affected babies, neonatal encephalopathy results from acute peripartum events, but rigorous review of these cases for quality improvement is seldom reported. New Zealand has maintained a national database of all babies diagnosed with Sarnat moderate and severe neonatal encephalopathy since 2010 under the Perinatal and Maternal Mortality Review Committee.

Aims: To determine the rate of contributory factors, potentially avoidable mortality or morbidity, and to identify key areas for improvements to maternity and neonatal care among cases of neonatal encephalopathy following an acute peripartum event. Read More

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http://dx.doi.org/10.1111/ajo.12957DOI Listing
February 2019
1 Read

Effects of unconventional recreational drug use in pregnancy.

Semin Fetal Neonatal Med 2019 Feb 4. Epub 2019 Feb 4.

Mahidol University International College, Mahidol University, Nakhon Pathom, Thailand. Electronic address:

Recreational drug toxicity is a rapidly evolving aspect in clinical practice. The prevalence of recreational drug abuse in the past decade has achieved an epidemic scale due to invention of new agents and ease of accessibility to the abused drugs. "Unconventional recreational drugs" is the term that includes new psychoactive drugs and medications diverted for recreational goals. Read More

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http://dx.doi.org/10.1016/j.siny.2019.01.010DOI Listing
February 2019

Contemporary Trends in Cesarean Delivery Utilization for Live Births Between 22 0/7 and 23 6/7 Weeks of Gestation.

Obstet Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, the Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children's Hospital Medical Center, and the University of Cincinnati Department of Pediatrics, Cincinnati, Ohio.

Objective: In 2014, the Society for Maternal-Fetal Medicine, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists published an executive summary of a joint workshop to establish obstetric interventions to be considered for periviable births. We sought to evaluate changes in practice patterns since the publication of these guidelines.

Methods: We conducted a population-based cohort study of all singleton live births delivered between 22 0/7 and 23 6/7 weeks of gestation in the United States within two time epochs: pre-executive summary (Epoch 1: 2012-2013) and post-executive summary (Epoch 2: 2015-2016) guideline release. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003106DOI Listing
February 2019
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Implementation of the Alliance for Innovation on Maternal Health Program to Reduce Maternal Mortality in Malawi.

Obstet Gynecol 2019 Feb 4. Epub 2019 Feb 4.

Division of Global Women's Health, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; the American College of Obstetricians and Gynecologists, Washington, DC; and Kamuzu Central Hospital, Lilongwe, Malawi.

Objective: To evaluate maternal mortality and changes in the culture of safety before and after the implementation of the Alliance for Innovation on Maternal Health (AIM) Malawi program.

Methods: This was a prospective cohort study at a central hospital and a district health center in Malawi from March 2016 to November 2017. The AIM Malawi program included classroom didactics on obstetric hemorrhage, teamwork protocols, skills laboratory activities, and simulation training. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003108DOI Listing
February 2019
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The impact of variations in obstetric practice on maternal birth trauma.

Int Urogynecol J 2019 Feb 11. Epub 2019 Feb 11.

Sydney Medical School Nepean, The University of Sydney, Sydney, Australia.

Introduction And Hypothesis: Forceps delivery and length of second stage are risk factors of maternal birth trauma, i.e., levator ani muscle (LAM) avulsion and anal sphincter trauma. Read More

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http://dx.doi.org/10.1007/s00192-019-03887-zDOI Listing
February 2019
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Umbilical artery pulsatility index and half-peak systolic velocity deceleration time in fetuses with trisomy 21.

J Matern Fetal Neonatal Med 2019 Feb 10:1-7. Epub 2019 Feb 10.

b Fetal Imaging Unit , FETALMED-Maternal-Fetal Diagnostic Center , Santiago , Chile.

Objective: To analyze placental vascular resistance and the role of placental insufficiency in the etiology of reduced fetal growth in fetuses with trisomy 21 as determined by umbilical artery (UA) Doppler velocimetry.

Methods: Second- and third-trimester UA Doppler ultrasound studies were performed in fetuses with trisomy 21 at the time of clinically indicated obstetric ultrasound assessment. The UA pulsatility index (PI) and half-peak systolic velocity deceleration time (hPSV-DT) were measured and recorded. Read More

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http://dx.doi.org/10.1080/14767058.2019.1575357DOI Listing
February 2019
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Rising Rates of Caesarean Section in Urban Nepal.

J Nepal Health Res Counc 2019 Jan 28;16(41):479-480. Epub 2019 Jan 28.

Karnali Provence Hospital, Surkhet, Nepal.

The rising rate of caesarean section in urban Nepal is alarming as the lack of access for women in rural areas to emergency obstetric care, putting lives at risk. The latter is referred to as 'Too little too late'. At the same time, the sharp rise in caesarean section rates in cities presents the other extreme: "Too much too soon". Read More

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January 2019

Determinants of Timely Initiation of Breastfeeding among Disadvantaged Ethnic Groups in Midwest Nepal.

J Nepal Health Res Counc 2019 Jan 28;16(41):385-391. Epub 2019 Jan 28.

Department of Community Medicine and Public Health, Institute of Medicine, Tribhuwan University, Kathmandu, Nepal.

Background: Timely initiation of breastfeeding has the potential to prevent 22% of neonatal deaths if breastfed within an hour after birth. Although breastfeeding is almost universal in Nepal, ranges of regional differences in timely initiation of breastfeeding have been documented. The aim of this study was to identify the prevalance and the determinants of early initiation of breastfeeding among disadvantaged ethnic women in Midwest Nepal. Read More

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January 2019

Vacuum operator's experience - does it really matter?

Acta Obstet Gynecol Scand 2019 Feb 10. Epub 2019 Feb 10.

Department of Obstetrics and Gynecology, Hadassah-Hebrew University, Medical Center, Jerusalem, Israel.

We read the study by Bergendahl et al. recently published in this journal with great interest . They performed a retrospective cohort study among nulliparous women delivered by vacuum extraction at a teaching hospital and evaluated the risk for obstetric anal sphincter injury (OASIS) giving specific attention to operator related variables. Read More

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http://dx.doi.org/10.1111/aogs.13568DOI Listing
February 2019

Society for Maternal-Fetal Medicine (SMFM) Consult Series #48: Immediate postpartum long-acting reversible contraception for women at high-risk for medical complications.

Am J Obstet Gynecol 2019 Feb 7. Epub 2019 Feb 7.

Reproductive planning is important for all women but essential for those with complex health conditions or at high-risk for complications. Pregnancy planning can allow these high-risk women the opportunity to receive preconception counseling, medication adjustment, and risk assessment related to health conditions that directly impact maternal morbidity and mortality risk. Despite the need for pregnancy planning, medically complex women face barriers to contraceptive use, including systemic barriers, such as underinsurance for women at increased risk for complex medical conditions as well as low uptake of effective postpartum contraception. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.011DOI Listing
February 2019
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Elective Induction of Labor.

Authors:

J Obstet Gynecol Neonatal Nurs 2019 Feb 6. Epub 2019 Feb 6.

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http://dx.doi.org/10.1016/j.jogn.2019.01.004DOI Listing
February 2019

Intimate Partner Violence.

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Nurs Womens Health 2019 Feb;23(1):80-84

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http://dx.doi.org/10.1016/S1751-4851(19)30016-9DOI Listing
February 2019